ArticleCost effectiveness and resource allocation : C/E2020
Factors affecting the technical efficiency of rural primary health care centers in Hamadan, Iran: data envelopment analysis and Tobit regression.
Article in Cost effectiveness and resource allocation : C/E, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Evaluating a maternal and child health capacity-building program in Senegal: environment-adjusted district efficiency and gap reduction using DHIS2 data.BMC health services research · 2026Article
- The spatial effects and influencing factors of inter-provincial health resource allocation efficiency in China.BMC health services research · 2025Article
- The efficiency of secondary-level hospitals in hard-to-reach and non-hard-to-reach areas in Bangladesh: a data envelopment analysis approach.BMC health services research · 2025Article
- Efficiency divergence and convergence in China's hospital sector: empirical insights from Guangdong Province using a multi-method approach.Frontiers in public health · 2025Article
- Evaluation of Health Resource Efficiency and Its Influencing Factors in Ethnic Minority Areas of Guangxi: Data from 2010 to 2022.Risk management and healthcare policy · 2025Article
- Efficiency analysis of primary health care resources: DEA and Tobit regression evidence from village clinics in Jiangsu Province.Frontiers in public health · 2025Article
- Modelling efficiency in primary healthcare using the DEA methodology: an empirical analysis in a healthcare district.BMC health services research · 2024Article
- Technical efficiency and its convergence among village clinics in rural China: evidence from Shanxi Province.Frontiers in public health · 2024Article
- Evaluating the efficiency of primary health care institutions in China: an improved three-stage data envelopment analysis approach.BMC health services research · 2023Article
- Health systems efficiency in China and ASEAN, 2015-2020: a DEA-Tobit and SFA analysis application.BMJ open · 2023Article
- The efficiency of health resource allocation and its influencing factors: evidence from the super efficiency slack based model-Tobit model.International health · 2023Article
- Temporal-Spatial Evolution and Trend Prediction of the Supply Efficiency of Primary Medical Health Service-An Empirical Study Based on Central and Western Regions of China.International journal of environmental research and public health · 2023Article
- Analyzing the efficiency of Chinese primary healthcare institutions using the Malmquist-DEA approach: Evidence from urban and rural areas.Frontiers in public health · 2023Article
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7 authors.
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Abstract
backgroundStudying and monitoring the efficiency of primary health care centers has a special place in the health system. Although studies have been conducted in the field of efficiency in Iran, few have focused on rural primary health care centers. In addition, previous studies have not used the child mortality rate and Behvarzes as input and output.
objectiveThe present study was conducted aimed to estimate the technical efficiency of rural primary health care centers and determinant factors in Hamadan using data envelopment analysis and Tobit regression.
methodsThis is a Longitudinal study of rural primary health care centers in Hamadan province (2002-2016). Data Envelopment Analysis was employed to estimate technical efficiency of sampled health facilities while Panel Tobit Analysis was applied to predict factors associated with efficiency levels. The outputs were child mortality rate under 1 year of age and child mortality rate 1 year to 5 years of age. The input was Behvarzes (rural health workers).
resultsThe results of efficiency analysis showed that the average efficiency scores of the centers had a fluctuating trend during the period of the study, but the average performance scores generally decreased in 2016, as compared with 2002. The highest and lowest average performance scores were observed in 2003 (0.78) and 2013 (0.56), respectively. Number of physicians and rural primary healthcare centers per population had a positive statistically significant and the number of midwives and the total fertility per population had a negative statistically significant effect on efficiency.
conclusionsThe findings suggest some level of wastage of health resources in primary health centers. Findings indicate a level of waste of health resources in primary health centers. Behvarz functions in providing primary care services can be considered in the reallocation and optimal use of available resources at the level of rural health centers.
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